Bulletin du cancerPub Date : 2025-02-26DOI: 10.1016/j.bulcan.2025.01.006
Mathilde Reich, Manuel Rodrigues
{"title":"[Mirvetuximab soravtansine as monotherapy in platinum-resistant ovarian cancer expressing alpha folate receptor].","authors":"Mathilde Reich, Manuel Rodrigues","doi":"10.1016/j.bulcan.2025.01.006","DOIUrl":"https://doi.org/10.1016/j.bulcan.2025.01.006","url":null,"abstract":"","PeriodicalId":93917,"journal":{"name":"Bulletin du cancer","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bulletin du cancerPub Date : 2025-02-25DOI: 10.1016/j.bulcan.2024.12.016
Nicolas Kiavue, Luc Cabel
{"title":"[Benefits and limitations of circulating tumor DNA in breast cancer].","authors":"Nicolas Kiavue, Luc Cabel","doi":"10.1016/j.bulcan.2024.12.016","DOIUrl":"https://doi.org/10.1016/j.bulcan.2024.12.016","url":null,"abstract":"<p><p>The detection of circulating tumor DNA (ctDNA) has made significant advances in oncology in recent years. ctDNA offers a range of applications, including the identification of theranostic mutations, monitoring of tumor recurrence, and assessing treatment efficacy. In breast cancer, several ctDNA-based tests for detecting relapse during follow-up are currently under validation, with some already available in countries like the United States. In metastatic breast cancer, ctDNA levels and their dynamics during treatment have prognostic value. The PADA-1 trial demonstrated that a therapeutic adaptation based on the detection of a circulating subclone via circulating tumor DNA (ctDNA) was feasible and potentially beneficial for patients. This review will explore the methods for ctDNA detection and discuss the potential benefits of incorporating this technology into breast cancer monitoring and management across various clinical scenarios.</p>","PeriodicalId":93917,"journal":{"name":"Bulletin du cancer","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[French mapping of clinical pharmacy activities for older patients with cancer: A SFPO-SFPC survey].","authors":"Chloé Herledan, Anne Toulemonde, Mathilde Sturmia, Anne-Laure Clairet, Aurélie Terrier-Lenglet, Maryline Legrand, Chloé Choukroun, Marine Beck, Florent Puisset, Mathieu Boulin, Christelle Mouchoux, Florian Correard","doi":"10.1016/j.bulcan.2024.12.017","DOIUrl":"https://doi.org/10.1016/j.bulcan.2024.12.017","url":null,"abstract":"<p><strong>Introduction: </strong>Older patients with cancer are particularly vulnerable to the risk of adverse drug events. Therefore, it is essential that pharmacists play an active role in their multidisciplinary management throughout the care pathway. The aim of this study is to provide an overview of clinical pharmacy activities integrated into multidisciplinary management in geriatric oncology in France.</p><p><strong>Method: </strong>An online survey involving pharmacists from the French societies of clinical pharmacy (SFPC) and oncology pharmacy (SFPO) was carried out between 1st May 2023 and 31 August 2023. The questionnaire focused on the description of clinical pharmacy activities associated with multidisciplinary geriatric oncology assessment developed in the institution. A single response per hospital was required.</p><p><strong>Results: </strong>Among the 70 respondents, 46 (65.7%) offer multidisciplinary geriatric oncology assessments. Clinical pharmacy activities have already been integrated to these assessments in 27 (38.6%) hospitals, and a further 10 (14.2%) are planning to implement them in the near future. These activities are carried out in parallel with medical activities, primarily after the initiation of cancer treatment and mainly on an outpatient basis. They mostly involve medication reconciliation and optimization of drug therapy. The main obstacles to their development are the lack of human resources and funding, particularly in hospitalization settings.</p><p><strong>Discussion/conclusion: </strong>Pharmacists are still insufficiently integrated into multidisciplinary geriatric oncology teams, despite their crucial role in the care pathway and the advocacy of professional societies. Changes in funding methods and the development of digital tools for city-hospital cooperation could help to promote this integration in the future.</p>","PeriodicalId":93917,"journal":{"name":"Bulletin du cancer","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Cancer and nutritional management of overweight and obesity: Practice evaluation].","authors":"Léo Pernaton, Dominique Cellier, Romain Buono, Antoine Pierre, Marine Sauzet, Jean-Yves Blay, Olivia Pérol, Béatrice Fervers","doi":"10.1016/j.bulcan.2024.10.011","DOIUrl":"https://doi.org/10.1016/j.bulcan.2024.10.011","url":null,"abstract":"<p><strong>Context: </strong>The aim of this practice evaluation was to assess weight trends during and after a nutritional intervention in cancer patients and survivors.</p><p><strong>Methods: </strong>This retrospective study was conducted between January 2014 and October 2020 in adults with different cancer types managed at the Léon-Bérard Cancer Center, undergoing treatment or during post-treatment follow-up, with a BMI≥25kg/m<sup>2</sup> and who had at least 3 consultations with a nutrition physician. Nutritional management focused on behavioral, metabolic and nutritional aspects. Anthropometrics measurements, i.e., waist circumference, weight and BMI, were monitored prospectively during the nutritional consultation. The aim of this study was to evaluate the impact of the nutritional intervention on the anthropometrics measurements.</p><p><strong>Results: </strong>Overall, 247 patients were included in the analysis. The median duration of the nutritional intervention was 7.2months. Between the first and the last nutrition consultation, waist circumference was reduced in 97.2% of the patients, with a median loss of 10cm; weight and BMI were reduced in 85.0% and 83.8% of the patients respectively. Six months after the end of the nutritional intervention, 53.7% of patients had stable or continued reduced weight.</p><p><strong>Conclusion: </strong>This analysis of practice shows the positive impact of a nutritional intervention during cancer treatments on anthropometric parameters, and maintenance or continued weight loss at distance from the intervention in half of the patients.</p>","PeriodicalId":93917,"journal":{"name":"Bulletin du cancer","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bulletin du cancerPub Date : 2025-01-22DOI: 10.1016/j.bulcan.2024.10.014
Camille Tlemsani, Gaëlle Bougeard, Marion Gauthier-Villars, Philippe Denizeau, Sarah Winter, Caroline Michot, Geneviève Baujat, Brigitte Bressac, Tiphaine Adam de Beaumais, Aymeric Rouchaud, Fadila Mihoubi-Bouvier, Franck Bourdeaut, Laurence Brugières, Thierry Leblanc, Edwige Kasper, Nadège Corradini
{"title":"Bone sarcomas and cancer predisposition syndromes.","authors":"Camille Tlemsani, Gaëlle Bougeard, Marion Gauthier-Villars, Philippe Denizeau, Sarah Winter, Caroline Michot, Geneviève Baujat, Brigitte Bressac, Tiphaine Adam de Beaumais, Aymeric Rouchaud, Fadila Mihoubi-Bouvier, Franck Bourdeaut, Laurence Brugières, Thierry Leblanc, Edwige Kasper, Nadège Corradini","doi":"10.1016/j.bulcan.2024.10.014","DOIUrl":"https://doi.org/10.1016/j.bulcan.2024.10.014","url":null,"abstract":"<p><p>Bone sarcomas, constituting less than 1% of malignant neoplasms across all age groups, are rare tumours possibly associated with genetic susceptibility syndromes. This review aims to provide recommendations for the detection of cancer predisposition syndromes associated with bone sarcomas and managing affected patients. Recommendations were formulated by a multidisciplinary working and reviewing group from GROUPOS and SFCE oncogenetic's group, including geneticists, oncologists, and radiologists. For various bone sarcomas including osteosarcomas, chondrosarcomas and Ewing sarcomas, we delineate tumour presentation, management strategies, and follow-up within the context of cancer predisposition syndromes. The inherited predisposition syndrome, associated with germline TP53 variants, known as the Li-Fraumeni syndrome, is the most frequent implicated in osteosarcoma cases. Other cancer predisposition syndromes, such as RB1, RECQ or CDKN2A disorders in osteosarcomas and Ollier and Maffucci diseases in chondrosarcomas, are also recognized. Additionally, we discuss rarer cancer predisposition syndromes associated with bone sarcomas and suggest tailored treatment approaches in some cancer predisposition syndromes to mitigate severe toxicities or secondary oncological events. Furthermore, we emphasize the role of identification somatic molecular variations in identifying constitutional germline variants and describe national and international screening programs, reference networks and molecular tumour boards available for collegial and collaborative management discussion. This comprehensive review provides insights into the intricate interplay between genetic predisposition, tumour biology, and therapeutic interventions in bone sarcoma patients with cancer predisposition syndrome.</p>","PeriodicalId":93917,"journal":{"name":"Bulletin du cancer","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bulletin du cancerPub Date : 2025-01-11DOI: 10.1016/j.bulcan.2024.12.011
Chloé Prod'homme, Nicolas Sena, Emmanuelle Forestier, Rozenn Le Berre, Eve Desmedt, Laurent Mortier, Licia Touzet
{"title":"Patient views on continued immune checkpoint inhibition following progression in advanced melanoma: A qualitative study.","authors":"Chloé Prod'homme, Nicolas Sena, Emmanuelle Forestier, Rozenn Le Berre, Eve Desmedt, Laurent Mortier, Licia Touzet","doi":"10.1016/j.bulcan.2024.12.011","DOIUrl":"https://doi.org/10.1016/j.bulcan.2024.12.011","url":null,"abstract":"<p><strong>Introduction: </strong>Immune checkpoint inhibition has revolutionized the management of metastatic melanoma, including in the final stages of disease progression: because it is well tolerated, some teams do not discontinue it in hopes of slowing disease progression. The risks are that treatment may be continued unnecessarily, causing side effects, and reduce access to specialist palliative care, in addition to increasing the cost of treatment.</p><p><strong>Method: </strong>We explored the experiences of 10 patients in a university hospital with metastatic melanoma under continued immune checkpoint inhibitors combined with specialist palliative care. Our goal was to gain a better understanding of the advantages and disadvantages perceived by patients. The comprehensive interviews were analysed using a method inspired by grounded theory that met the COREQ international recommendation criteria.</p><p><strong>Results: </strong>Receiving the information of disease progression, continued treatment and onset of palliative care impacts patients' lives: from this point onwards, death becomes a reality and takes on the image of a sword of Damocles. The experience is anxiety-provoking because of the uncertainty of tomorrow, and painful because of the physical suffering and successive bereavements. However, far from causing depression and despair, joint oncology-palliative management is well accepted and helps to improve patients' daily lives and well-being.</p><p><strong>Conclusion: </strong>Our findings highlight patients' ambivalence. On the one hand, they recount their experiences of suffering in connection with the disease and the confrontation with death, and on the other hand, their need to continue to live and to hope. Joint care provided by oncology and palliative care teams, symbolically representing hope and death, may mirror patients' psychological mindset and provide just the support they need.</p>","PeriodicalId":93917,"journal":{"name":"Bulletin du cancer","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bulletin du cancerPub Date : 2025-01-01Epub Date: 2024-05-16DOI: 10.1016/j.bulcan.2024.04.002
Marie Lejeune, Bertille Menard, Sophie Servais, Christelle Andrianne, Lucie Capelle, Ségolène De Maistre, Catherine Fabaron, Marie Flata Cornier, Marie-Pierre Goutagny, Maguy Pereira, Clea Tardy, Eric Turquet, Malek Benakli, Etienne Baudoux, Solène Evard, Catherine Faucher, Gwenaelle Herrero, Léonardo Magro, Claire Geurten
{"title":"[Haematopoietic stem cell donation from minor donor: Respecting laws, assessing fitness, delivering information and good care (SFGM-TC)].","authors":"Marie Lejeune, Bertille Menard, Sophie Servais, Christelle Andrianne, Lucie Capelle, Ségolène De Maistre, Catherine Fabaron, Marie Flata Cornier, Marie-Pierre Goutagny, Maguy Pereira, Clea Tardy, Eric Turquet, Malek Benakli, Etienne Baudoux, Solène Evard, Catherine Faucher, Gwenaelle Herrero, Léonardo Magro, Claire Geurten","doi":"10.1016/j.bulcan.2024.04.002","DOIUrl":"10.1016/j.bulcan.2024.04.002","url":null,"abstract":"<p><p>Haematopoietic stem cell collection from paediatric donors is a common and life-saving practice, as evidenced by the fact that there is a growing annual number of cases of transplants from minor donors among SFGM-TC centers over the last decade. Still, medical use of human tissue from a healthy and underage donor requires proper regulations and medical management. The guidelines below aim at underlining the importance of pondering the legal, medical and ethical aspects of using stem cells from healthy paediatric donors and stress out the importance of obtaining informed consent at the time of assessing HLA compatibility. Combined medical and psychological assessments are required before the donation, as well as one month later and one year later to ensure of the child's physical and mental wellbeing. Bone marrow harvest under general anaesthetics remains the preferred method of collection for children. Peripheral blood stem cell collection should only be considered for children who will not require a central venous access for collection. We aim at offering guidelines centered on the healthy child donating stem cells and his/her wellbeing, and these should be regularly reviewed as medical practices evolve.</p>","PeriodicalId":93917,"journal":{"name":"Bulletin du cancer","volume":" ","pages":"S78-S86"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140961091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bulletin du cancerPub Date : 2024-12-12DOI: 10.1016/j.bulcan.2024.10.010
Tamim Alsuliman, Leonardo Magro, Marie Titecat, Marie Robin, Tarek Kanouni, Edouard Forcade, Charlotte Jubert, Ibrahim Yakoub-Agha, Catherine Faucher
{"title":"[Medical simulation training for bone marrow harvesting from a healthy donor for an allogeneic hematopoietic cell transplant (SFGM-TC)].","authors":"Tamim Alsuliman, Leonardo Magro, Marie Titecat, Marie Robin, Tarek Kanouni, Edouard Forcade, Charlotte Jubert, Ibrahim Yakoub-Agha, Catherine Faucher","doi":"10.1016/j.bulcan.2024.10.010","DOIUrl":"https://doi.org/10.1016/j.bulcan.2024.10.010","url":null,"abstract":"<p><p>This workshop presents the recommendations of the Société francophone de greffe de moelle et de thérapie cellulaire (SFGM-TC) for simulation-based training on bone marrow harvesting from healthy donors. Due to the decline in bone marrow harvests in favor of peripheral stem cells, a loss of expertise has been observed among younger hematologists. The training consists of an online theoretical component and a hands-on workshop using a mannequin at the PRESAGE simulation center at the Lille University School of Medicine. The goal is to acquire the necessary skills to safely perform bone marrow harvesting according to best practices, avoiding technical errors. Both theoretical and practical evaluations are conducted, and participants receive a training certificate upon completion.</p>","PeriodicalId":93917,"journal":{"name":"Bulletin du cancer","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bulletin du cancerPub Date : 2024-12-09DOI: 10.1016/j.bulcan.2024.09.005
Cyrine Mokrani, Rim Abidi, Khedija Ben Zid, Alia Mousli, Amani Yousfi, Hadhemi Ayadi, Chiraz Nasr
{"title":"Cancer, treatment and religion: What impact?","authors":"Cyrine Mokrani, Rim Abidi, Khedija Ben Zid, Alia Mousli, Amani Yousfi, Hadhemi Ayadi, Chiraz Nasr","doi":"10.1016/j.bulcan.2024.09.005","DOIUrl":"https://doi.org/10.1016/j.bulcan.2024.09.005","url":null,"abstract":"<p><strong>Introduction: </strong>Despite advances in treatment, the diagnosis and management of cancer remains a physical and psychological ordeal for the patient. Many authors have studied the impact of religiosity in cancer patients. The aim of our study was to describe the psychological influence of religious beliefs and practices in these patients.</p><p><strong>Methods: </strong>We conducted a descriptive study of 50 patients undergoing treatment in the Radiation Oncology Department. The Arabic version of the Santa Clara Strength of Religious Faith Questionnaire (SCSORFQ) was used to assess religious faith. The patient's psychological experience was assessed through a questionnaire.</p><p><strong>Results: </strong>The entire population was Muslim. The mean age was 60.5years (34-85years), 60% of whom were women. Breast cancer was predominant (46%). Twenty-six percent of the population was illiterate. The majority of patients (66%) reported an increase in their faith since the announcement of the disease. The religiosity score increased significantly with age (P=0.019). A positive correlation between time since diagnosis and number of prayers per day (P=0.009). The lower the level of education, the higher was the degree of faith (P=0.013). Moreover, low degrees of education were linked to greater acceptance of all therapeutic decisions (P=0.016).</p><p><strong>Conclusion: </strong>This study suggests the value of religious beliefs in helping cancer patients come to terms with their illness.</p>","PeriodicalId":93917,"journal":{"name":"Bulletin du cancer","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bulletin du cancerPub Date : 2024-11-06DOI: 10.1016/j.bulcan.2024.07.012
Michel D'Incan
{"title":"[Cutaneous T-cell lymphomas].","authors":"Michel D'Incan","doi":"10.1016/j.bulcan.2024.07.012","DOIUrl":"https://doi.org/10.1016/j.bulcan.2024.07.012","url":null,"abstract":"<p><p>Primitive cutaneous T-cell lymphomas are lymphomas clinically restricted to skin at diagnosis in opposite to skin localizations of systemic lymphomas. Cutaneous T-cell lymphomas are the most frequent. Beside mycosis fungoides and related forms, CD30+ lymphoproliferations (lymphomatoid papulosis, anaplastic large cell primitive cutaneous T-cell lymphomas) and erythrodermic T-cell lymphomas which constitute the main entities, other rare lymphomas are described: panniculitis like alpha/beta lymphoma, gamma/delta lymphoma, epidermotropic CD8+ aggressive lymphoma, small to medium T-cell lymphomas and acral CD8+ lymphoproliferations. Clinical skin examination and skin biopsy examination are crucial for diagnosis but recent advances in molecular genetics bring promising tools for diagnostic. Thanks to international cooperative groups, treatment of mycosis fungoides, CD30+ lymphoproliferations and erythrodermic lymphomas is now well established which is not the case for the other entities. Treatments may be classified in five categories: skin directed therapies, systemic non-chemotherapeutic treatments, immunomodulators, targeted immunotherapies and chemotherapies.</p>","PeriodicalId":93917,"journal":{"name":"Bulletin du cancer","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}